Big Guy, Littles World Sanctuary Adoption Application
Please fill out all fields to be considered.Do not leave any fields blank. If section does not apply to you then mark N/A.
Name
First Name
Last Name
Spouse’s name (if applicable)
First Name
Last Name
Age
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Cell/Primary Number
-
Area Code
Phone Number
Home Number
-
Area Code
Phone Number
Work Number
-
Area Code
Phone Number
Preferred method of contact.
Employer name and occupation.
If renting, do you have your landlord’s permission to have a pet?
No
Yes
Occupancy Type
Rent
Own
Live with parent/guardian
If renting, do you have a copy of your lease so we can verify pets are allowed?
If renting or living with a guardian, please provide their name.
First Name
Last Name
Landlord or guardians phone number (required if you rent)
-
Area Code
Phone Number
Landlord or guardians email
example@example.com
How long have you lived at this address?
Number of people at this address?
Are you or anyone in your household allergic to pet dander?
I have a pet allergy.
Someone in my home has a pet allergy.
No pet allergies.
Relationship to the people you live with, their ages, and names. If you live with no one else please put N/A.
Is your home busy or quiet?
Quiet
Busy
Mix of both
Current & Past Pet History
Please complete all fields to be considered.If field does not apply to you then mark N/A.
Do you currently have any pets?
Yes
No
If yes, please indicate: names, breed, gender, age, and any known medical issues. If none, mark N/A.
When is the last time your pet(s) were seen by a veterinarian?
Are your pets current on vaccinations?
Yes
No
N/A
If no, please explain.
Are your pets spayed and neutered?
Yes
No
N/A
If no, please explain.
If you have pets are they kept indoors or outdoors?
Indoor
Outdoor
Both
N/A
If yes, please describe.
Have you had pets in the past?
Yes
No
If yes, how long ago? What type? Who did they see for vet treatment? What is the contact info for that vet (phone number)? If the pet owner is different than names listed above, please list name of pet owner with vet clinic.
Dog Information
Name of dog(s) you’re interested in.
If the dog you are interested in are no longer available, would you like us to continue processing your application for future consideration?
Yes
No
Type of personality you would like in a dog?
Approximate time per day the dog will be alone?
Do you have a plan if you were suddenly unable to care for your dog? (Ex: job loss, illness, death) Please explain.
If you have to move are you willing to locate housing options that allow pets?
Yes
No
Do you have experience with the Chihuahua breed? If so, please explain. If not, why are you interested in a Chihuahua?
Do you believe you can provide your pet a good home for its entire life (15+ years)?
Yes
No
Are you able to take your pet the vet for annual check ups?
Yes
No
If your pet becomes ill, can you afford to take them to the vet for treatment?
Yes
No
Why are you interested in adopting a chihuahua from Big Guy Littles World?
Vet Contact Information
Please include all contact information for your current veternarian. Someone from our organization will contact to confirm your pets are up to date and seen on a regular basis.
Vet Name
First Name
Last Name
Vet Clinic Name
Clinic Phone Number
-
Area Code
Phone Number
Vet email address
example@example.com
If your account is listed under another name (maiden, relative, room mate, etc) please list that name here.
Terms and Conditions
Do you agree to stay in touch and provide picture updates, as requested, to Big Guy Littles World Sanctuary (BGLWS)?
Agree
Disagree
I certify that I am at least 21 years of age and the information I have provided on this application is true. I also recognize that any misrepresentation or omissions may result in the loss of privledge to adopt from BGLWS.
Agree
Disagree
I understand that BGLWS has the right to deny any application for any reason.
Agree
Disagree
If interested in a particular dog, I undersand that BGLWS can not hold any dog until I am an approved applicant.
Agree
Disagree
I understand dogs are a dopted to the best home and not on a first come, first serve basis. Even if I am applying for a particular dog, my application may be approved but a better suited home may be selected. I may be better suited for another dog that meets my needs.
Agree
Disagree
I understand that BGLWS is not able to guarantee the health or temperment of any dog, as many dogs come from unknown histories. There are traits that could change upon adoption and I take responsbility to address these issues if they do arise.
Agree
Disagree
I understand that anything can happen in life, and if I find that I am no longer able to care for my adopted dog, I agree to contact BGLWS by phone and/or email to discuss return/or need for help of the adopted animal.
Agree
Disagree
I understand that I am to immediately contact BGLWS in the event that my adopted dog is lost/missing.
Agree
Disagree
I undersand that Big Guy Littles World Sanctuary is not a breeder; I am aware that they rescue chihuahuas and mixed breeds off the street and take in surrendsers, I understand that they can attest these dogs are healthy to the best of their abilitry, per the vet, and cannot guarantee health.
Agree
Disagree
I attest that the dog/puppy I am adopting is for me, in my home, and NOT a gift for anyone.
Agree
Disagree
I understand there is an adoption fee associated with Big Guy Littles World Sanctuary if I am selected as an adopter. The fee is typically $300 but may be more denpending on the care that needs to be provided to the dog.
Agree
Disagree
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